Regulatory decisions are generally chaotic events for biotech companies, especially when they involve a lead clinical candidate. Approvals can send shares soaring as the market prices in future revenue, whereas a rejection nearly always results in a dramatic drop in share price. Given the bipolar nature of regulatory decisions for biotechs, it's key to understand the risks relative to rewards associated with a company ahead of the event. With that in mind, here is a Foolish comparison of two biotechs, Cubist Pharmaceuticals (NASDAQ:CBST) and Durata Therapeutics (NASDAQ:DRTX), with imminent regulatory reviews for their antibiotics with the U.S. Food and Drug Administration, or FDA.

Cubist Pharmaceuticals and Durata Therapeutics both face the FDA on March 31
In an odd turn of events, both Cubist and Durata will go before Advisory Committees for their respective antibiotics, indicated as potential treatments for gram-positive skin infections, on March 31. Because of the marked increase in serious skin infections stemming from antibiotic resistant bacteria such as Staphylococcus aureus (MRSA), the Centers for Disease Control (CDC) has stated that there is an urgent need to develop new antibiotics to fill this unmet medical need. According to the CDC, 2 million Americans per year are infected with antibiotic resistant bacteria, resulting in approximately 23,000 fatalities. And the problem is only growing worse.

Cubist offers tedizolid phosphate
Cubist's antibiotic candidate is tedizolid phosphate, which was acquired from Trius Therapeutics in 2013 and will be marketed by Bayer AG outside of the U.S. Tedizolid met both its primary and secondary endpoints in two late-stage trials and is presently under review as a treatment for acute bacterial skin and skin structure infections (ABSSSI). Tedizolid will also enter mid-stage trials this year as potential treatment for hospital-acquired/ventilator-associated bacterial pneumonia. Based on Cubist's prior successes with the FDA, tedizolid's strong late-stage trial results, and the clear need for new antibiotics, I think tedizolid will receive a positive vote come March 31. A final decision for tedizolid is set for June 20, which is the drug's scheduled Prescription Drug User Fee Act, or PDUFA, action date 

Durata offers dalbavancin
Durata's candidate is the storied dalbavancin. Durata was launched in 2009 specifically to raise money to acquire the broad spectrum antibiotic from Pfizer (NYSE:PFE). Pfizer acquired the drug in a whopping $1.9 billion deal for Vicuron Pharmaceuticals in 2005, but was unable to monetize dalbavancin for reasons that remain somewhat fuzzy to this day.

After acquiring the drug from Pfizer, Durata initiated the requisite clinical trials necessary for a regulatory filing in the U.S. and Europe. In 2012, the company reported that dalbavancin met both its primary and secondary endpoints in multiple late-stage trials and subsequently filed for regulatory approval. So, despite a meandering clinical and regulatory history, my view is that dalbavancin will also likely be approved as a treatment for ABSSSI before or on May 26, the drug's scheduled PDUFA date. 

Foolish comparison
While this comparison seems unfair given the dramatic difference in market cap between the two companies, I believe you can consider which company offers the most potential upside for the least amount of risk. Viewed this way, I think the bigger biotech, Cubist, is the clear winner. Even though both stand a good chance of gaining approval for their respective antibiotics, my opinion is that Durata will have a much tougher go on the commercialization front. And will likely have to resort to significant dilutive financing to help raise the funds necessary to create a commercial infrastructure. Cubist has the marked advantage of already being a market leader in the antibiotic field with its blockbuster Cubicin, and thus having significant cash flow that can be used to help launch new drugs. All told, Durata simply can't offer investors this margin of safety. 

 

George Budwell has no position in any stocks mentioned. The Motley Fool recommends Cubist Pharmaceuticals. The Motley Fool owns shares of Cubist Pharmaceuticals. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy.